What is a priority intervention in planning care for the child with disseminated intravascular coagulation (DIC)?
a. Hospitalization at the first sign of bleeding
b. Teaching the child relaxation techniques for pain control
c. Management in the intensive care unit
d. Provision of adequate hydration to prevent complications
C
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A DIC typically develops in a child who is already hospitalized.
B Relaxation techniques and pain control are not high priorities for the child with
DIC.
C The child with DIC is seriously ill and needs to be monitored in an intensive care
unit.
D Hydration is not the major concern for the child with DIC.
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While acting as a preceptor for a graduate nurse, the registered nurse notices the graduate nurse voices frustration and a lack of appreciation for the health care beliefs and practices of clients whose beliefs differ from her own
Which of the following actions will best assist the preceptor to improve the graduate's practice? 1. The nurse should advise the graduate to reduce displays of frustration and lack of appreciation for the values of others. 2. The nurse should encourage the graduate to look closely at the graduate's own cultural practices and beliefs. 3. The graduate should receive a written reprimand. 4. The graduate should be required to meet with a counselor concerning her ethnic biases.
A client has liver cancer. Which statement by the client about treatment options demonstrates an accurate understanding?
a. "I guess it's a good thing that surgery is usually so successful." b. "I choose hepatic arterial infusion of chemo to limit side effects." c. "Because I have only local metastases, I am thinking about transplant." d. "This disease is so rare, no wonder no good treatments are available."
The nurse prepares the 85-year-old client for surgery. Which effect of aging does the nurse realize poses the greatest surgical risk for the client?
1. Decreased skeletal density 2. Decreased arterial resiliency 3. Decreased erythrocyte count 4. Decreased glomerular filtration
When caring for a patient who has an arm or leg restraint in place, how often will the nurse remove the restraint?
a. Every 15 minutes b. Every 30 minutes c. Every hour d. Every 2 hours